Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.99 / $5,009.00 / $8,084.00	Facility		$349.99	$5,009.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $388.10 / $676.50	Professional		$273.08	$388.10	$676.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $377.88 / $377.88 / $377.88	Professional		$377.88	$377.88	$377.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $504.94 / $1,044.38	Professional		$289.45	$504.94	$1,044.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $499.62 / $677.26 / $891.75	Professional		$499.62	$677.26	$891.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,380.51 / $6,667.30 / $13,540.90	Facility		$5,380.51	$6,667.30	$13,540.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.95 / $491.56 / $804.34	Professional		$299.95	$491.56	$804.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,188.00 / $10,536.00	Facility		$3,885.00	$7,188.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.92 / $478.68 / $1,129.47	Professional		$276.92	$478.68	$1,129.47